Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.56 / $252.45 / $294.33	Facility		$128.56	$252.45	$294.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $75.23 / $630.85	Professional		$73.58	$75.23	$630.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.59 / $615.28 / $1,055.16	Facility		$176.59	$615.28	$1,055.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $80.25 / $92.22	Professional		$80.25	$80.25	$92.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $63.77 / $63.77	Facility		$63.77	$63.77	$63.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $112.75 / $140.94	Professional		$40.51	$112.75	$140.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $93.20 / $117.73	Facility		$49.06	$93.20	$117.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.42 / $98.11 / $98.80	Professional		$68.42	$98.11	$98.80
United Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
United Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $38.32 / $58.87	Professional		$37.19	$38.32	$58.87